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Table 1 Total revenue, administrative costs and net effects of NHI Scenario (MWK million)

From: Assessing the feasibility and appropriateness of introducing a national health insurance scheme in Malawi

Revenue by source / Cost by function 2017/18 2018/19 2019/20 2020/21 2021/22
Income   3718.7 4131.2 4564.2 5022.9 5514.6
NHI contributions (informal sector)a   552.9 614.3 678.7 746.9 820.0
User feesa   3165.7 3516.9 3885.5 4276.0 4694.6
Cost (by function) Source/details 14,182.5 10,376.7 10,724.2 10,843.8 11,204.4
NHIS membership database NHIA NHIS database 7078.5 7114.5 7269.3 7443.6 7598.4
Quality Assurance NHIA quality assurance + Purchasing compliance 326.2 333.7 354.3 377.0 399.2
NHIS marketing NHIS communication campaign + NHIA communication staff 4626.1 729.2 789.9 852.5 916.0
Contracting with service providers Purchasing contracting 301.5 315.6 330.7 345.3 370.6
Insurance claims management NHIA claims management 463.1 471.2 501.4 535.2 565.4
Other NHI and purchasing functions NHIA other functions + Purchasing research + Purchasing other functions 662.3 664.2 687.6 687.0 701.6
Revenue collection Formal sector revenue collection (MRA) 43.0 44.2 46.2 49.9 53.7
  Informal sector revenue collection (NHIA)a 138.2 153.6 169.7 186.7 205.0
Insurance regulator Insurance regulator 12.9 13.3 13.9 15.0 16.1
Health facilities processing NHI claims   530.6 537.4 561.3 351.7 378.4
Cost (million USD)   18.9 13.8 14.3 14.5 14.9
Projected population   18,431,195 18,831,715 19,232,229 19,632,747 20,033,264
Cost per capita (USD)   1.0 0.7 0.7 0.7 0.7
Cost per capita (MWK)   769.5 551.0 557.6 552.3 559.3
Net revenue   −10,463.8 − 6245.5 − 6160.0 − 5820.9 − 5689.7
  1. The allocation of NHIS costs to key functions is indicative only
  2. aRealistic coverage scenario (5% of informal non-poor population)